Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tam Pham McLean

Individual provider Family Medicine Physician · NPI 1114260122

Tam Pham McLean is a Family Practice in Willoughby, Ohio. Graduated from Northeastern Ohio University College of Medicine in 2013, 13 years ago. Practices with Lake Hospital System, Inc, a 94-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
13
Trained at
Northeastern Ohio University College of Medicine
Licensed in
OH
In the registry since
2013

Practice location Address checks out

5105 Som Center Rd #106
Willoughby, OH 44094-4203
Phone: (440) 953-5740
Fax: (440) 953-5741
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35.127316 (OH)

Record details

NPI number1114260122
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2013
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021
Mailing address7590 Auburn Road, Suite 014, Attn: Med Staff, Concord Twp, OH 44077-9176

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Lake Hospital System, Inc. — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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